Abstract W P423: Women Perceive Differences in Stroke Prevention Care Based on their Primary Care Physician’s Specialty
BACKGROUND: Women have higher lifetime risk of stroke than men. Many women rely solely on their Ob/Gyn as their PCP; however, there are no data on women’s perceptions of stroke prevention (SP) care by their Ob/Gyn.
OBJECTIVES: to explore (1) women’s perceptions of SP based on their PCP’s specialty; (2) if ethnicity or age influenced women’s selection of PCP specialty; and (3) women’s awareness of stroke prevalence and preferences for which type of PCP address their stroke risk factors.
METHODS: We administered surveys to 224 women at Ob/Gyn (n = 132) and PCP (n = 94) clinics in Brooklyn, NY. Surveys consisted of 16 questions on patient demographics, awareness of stroke prevalence, stroke risk factors, specialties of physicians they regularly visit, preferences for SP and SP care received. Kruskall-Wallis and Mann-Whitney tests were used to compare ordinal variables. Fisher’s exact test was used for categorical variables.
RESULTS: We found a difference (p < 0.0001) in the mean age (but not in other demographic variables) of women who only visited an Ob/Gyn (30.0yrs±6.0) compared with those who visited an Ob/Gyn and another PCP (44.2±15.9) and those who visited at least one non-Ob/Gyn PCP (55.7±17.7). Women recalled: BP measurement by Ob/Gyn in 75% vs. 95% by other PCP (p<0.001); cholesterol measurement by Ob/Gyn 24% vs. other PCP 59% (p<0.0001); diabetes screening (p = 0.17) and weight measurement (p = 1.0) were similar. Awareness of stroke prevalence differed (p = 0.04) among women visiting only an Ob/Gyn (mean 0.5±0.7 correct answers), women visiting Ob/Gyn and at least one other PCP (1.0±0.8) and women visiting only a non-Ob/Gyn PCP (1.2±0.8). Women reported a greater preference for addressing SP with their non-Ob/Gyn PCP (73%) vs. their Ob/Gyn (2%) vs. no preference (26%).
CONCLUSIONS: Ob/Gyn are perceived to provide less SP care than non-Ob/Gyn PCP. However, most women would prefer to address SP with their non-Ob/Gyn PCP. Women who visit only an Ob/Gyn and no other PCP were younger and less aware of stroke prevalence than women who visited other PCP. This surrogate approach to actual SP care evaluation suggests a need for assessing Ob/Gyn practices in SP.
Author Disclosures: H. King: None. C. Balucani: None. D. Stefanov: None. M. Rosser: None. B. Tark: None. E. Lederman: None. O. Abulafia: None. S.R. Levine: None.
- © 2015 by American Heart Association, Inc.